| Fl Specialty Dental Services, Pllc | |
|
2808 Enterprise Rd Ste 102 Debary FL 32713-2753 | |
| (386) 668-7776 | |
| Not Available |
| Full Name | Fl Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2808 Enterprise Rd Ste 102, Debary, Florida |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CREDENTIALING &PR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fl Specialty Dental Services, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (504) 638-0303 | Fl Specialty Dental Services, Pllc 2808 Enterprise Rd Ste 102 Debary FL 32713-2753 Ph: (386) 668-7776 |
| NPI Number | 1811682628 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811682628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Fl Specialty Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 Enterprise Rd, Debary, FL 32713 Phone: 386-668-7776 |